EDI Dictionary
Schedule demo
EDI Dictionary
Transaction Sets
Segments
Elements
X12 Release 4030
X12 Release
4010
4010
4030
4050
5010
5030
5050
6020
6040
7010
7030
7050
8010
4020
4040
4060
5020
5040
6010
6030
6050
7020
7040
7060
Schedule demo
X12 Release 4030
X12 Release
4010
4010
4030
4050
5010
5030
5050
6020
6040
7010
7030
7050
8010
4020
4040
4060
5020
5040
6010
6030
6050
7020
7040
7060
Transaction Sets
Segments
Elements
EDI-Dictionary
4030
278 Health Care Services Review Information
UM-400
1338-6
1338
Level of Service Code
Code specifying the level of service rendered
Batch
Element Details
Type
ID
Length
Min 1 / Max 3
Codes
<>
L
Limited Treatment
<>
F1
Full Treatment - Phase One
<>
00
Not specified
<>
01
Patient Consultation
<>
04
24 Hour
<>
F2
Full Treatment - Phase Two
<>
NBC
Newborn Care
<>
R
Routine
<>
02
Home delivery
<>
U
Urgent
<>
05
Patient Consultation Regarding Generic Product Selection
<>
11
Follow-up Office Visit
<>
03
Emergency
<>
06
As Needed
<>
10
Initial Office Visit
<>
09
Other
<>
I
Initial